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Mereo BioPharma Reports Third Quarter 2024 Financial Results and Provides Corporate Update

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Mereo BioPharma reported Q3 2024 financial results with cash position of $80.5 million, expected to fund operations into 2027. The company's setrusumab received Breakthrough Therapy designation from FDA for osteogenesis imperfecta treatment. Q3 net loss increased to $15.0 million from $6.5 million in Q3 2023, primarily due to foreign exchange losses. R&D expenses decreased 12% to $3.2 million, while G&A expenses increased 9% to $6.2 million. The company continues to advance setrusumab's Phase 3 program with partner Ultragenyx and expects alvelestat to be Phase 3-ready by end of 2024.

Mereo BioPharma ha riportato i risultati finanziari del terzo trimestre 2024, con una disponibilità di cassa di 80,5 milioni di dollari, prevista per finanziare le operazioni fino al 2027. Il farmaco setrusumab ha ricevuto la designazione di Terapia Innovativa dalla FDA per il trattamento dell'osteogenesi imperfetta. La perdita netta del terzo trimestre è aumentata a 15,0 milioni di dollari rispetto a 6,5 milioni di dollari nel terzo trimestre 2023, principalmente a causa di perdite da cambi. Le spese per ricerca e sviluppo sono diminuite del 12% a 3,2 milioni di dollari, mentre le spese generali e amministrative sono aumentate del 9% a 6,2 milioni di dollari. L'azienda continua a portare avanti il programma di Fase 3 di setrusumab in collaborazione con Ultragenyx e prevede che alvelestat sarà pronto per la Fase 3 entro la fine del 2024.

Mereo BioPharma reportó los resultados financieros del tercer trimestre de 2024, con una posición de efectivo de 80,5 millones de dólares, que se espera financie las operaciones hasta 2027. La setrusumab de la compañía recibió la designación de Terapia Innovadora por parte de la FDA para el tratamiento de la osteogénesis imperfecta. La pérdida neta del tercer trimestre aumentó a 15,0 millones de dólares desde 6,5 millones de dólares en el tercer trimestre de 2023, principalmente debido a pérdidas cambiarias. Los gastos de I+D disminuyeron un 12% a 3,2 millones de dólares, mientras que los gastos generales y administrativos aumentaron un 9% a 6,2 millones de dólares. La compañía sigue avanzando en el programa de Fase 3 de setrusumab junto a su socio Ultragenyx y espera que alvelestat esté listo para la Fase 3 a finales de 2024.

메레오 바이오파마는 2024년 3분기 재무 결과를 보고하며, 8,050만 달러의 현금 보유액이 2027년까지 운영 자금을 지원할 것으로 예상된다고 밝혔습니다. 회사의 세트루수맙은 FDA로부터 골형성부전증 치료를 위한 특례 치료제 지정을 받았습니다. 3분기 순손실은 2023년 3분기 650만 달러에서 1,500만 달러로 증가했으며, 이는 주로 환율 손실 때문입니다. 연구 및 개발 비용은 12% 감소하여 320만 달러가 되었고, 일반 및 관리 비용은 9% 증가하여 620만 달러에 이르렀습니다. 회사는 Ultragenyx와 함께 세트루수맙의 3상 프로그램을 계속 진행하고 있으며, 알벨스타트가 2024년 말까지 3상 준비가 완료될 것으로 기대하고 있습니다.

Mereo BioPharma a annoncé les résultats financiers du troisième trimestre 2024, avec une position de trésorerie de 80,5 millions de dollars, qui devrait financer ses opérations jusqu'en 2027. Le médicament setrusumab a reçu la désignation de Thérapie Novatrice de la FDA pour le traitement de l'ostéogenèse imparfaite. La perte nette du troisième trimestre a augmenté à 15,0 millions de dollars contre 6,5 millions de dollars au troisième trimestre 2023, principalement en raison des pertes de change. Les dépenses de R&D ont diminué de 12 %, atteignant 3,2 millions de dollars, tandis que les dépenses générales et administratives ont augmenté de 9 % pour atteindre 6,2 millions de dollars. L'entreprise continue de faire avancer le programme de Phase 3 du setrusumab en partenariat avec Ultragenyx et prévoit qu'alvelestat sera prêt pour la Phase 3 d'ici fin 2024.

Mereo BioPharma berichtete über die finanziellen Ergebnisse des dritten Quartals 2024 mit einer liquiditätslage von 80,5 Millionen Dollar, die voraussichtlich die Betriebe bis 2027 finanzieren wird. Das Medikament setrusumab erhielt die Bezeichnung als Durchbruchtherapie von der FDA für die Behandlung der Osteogenesis imperfecta. Der Nettogewinn im dritten Quartal stieg auf 15,0 Millionen Dollar von 6,5 Millionen Dollar im dritten Quartal 2023, hauptsächlich aufgrund von Währungsverlusten. Die F&E-Ausgaben sanken um 12% auf 3,2 Millionen Dollar, während die Verwaltungs- und Gemeinkosten um 9% auf 6,2 Millionen Dollar stiegen. Das Unternehmen setzt das Phase-3-Programm von setrusumab in Zusammenarbeit mit Ultragenyx fort und erwartet, dass alvelestat bis Ende 2024 bereit für die Phase 3 sein wird.

Positive
  • Strong cash position of $80.5 million providing runway into 2027
  • Setrusumab received FDA Breakthrough Therapy designation
  • 12% reduction in R&D expenses from $3.6M to $3.2M
Negative
  • Net loss increased by $9.2M to $15.0M in Q3 2024
  • G&A expenses increased 9% to $6.2M
  • Foreign exchange losses of $6.4M in Q3 2024 versus $2.5M gain in Q3 2023

Insights

The Q3 results reveal a strong financial position with $80.5 million cash runway extending into 2027, bolstered by a recent $50 million direct offering. While R&D expenses decreased by 12% to $3.2 million, G&A costs increased by 9% to $6.2 million, primarily due to pre-commercial activities for setrusumab. The wider net loss of $15 million was largely attributed to foreign exchange losses of $6.4 million.

The FDA's Breakthrough Therapy designation for setrusumab significantly enhances the company's market position and potential commercialization prospects. The pipeline progress, particularly with setrusumab's Phase 3 trials and alvelestat becoming Phase 3-ready, indicates strong development momentum. Partnership discussions for alvelestat could provide additional upside through potential milestone payments and commercialization rights.

The Breakthrough Therapy designation for setrusumab represents a significant regulatory milestone, particularly given the absence of approved therapies for osteogenesis imperfecta. The preliminary clinical evidence, including positive 14-month results from the Orbit study showing meaningful fracture rate reduction, validates the drug's potential. The dual regulatory support (FDA Breakthrough and EU PRIME designation) strengthens the likelihood of approval.

The strategic focus on pre-commercial activities in European markets, including HTA discussions and real-world evidence generation through SATURN, demonstrates a well-planned commercialization strategy. Alvelestat's progression toward Phase 3 readiness in AATD lung disease further diversifies the pipeline with another promising rare disease candidate.

Setrusumab receives Breakthrough Therapy designation from the FDA

Cash of $80.5 million as of September 30, 2024, expected to fund operations into 2027

LONDON, Nov. 12, 2024 (GLOBE NEWSWIRE) -- Mereo BioPharma Group plc (NASDAQ: MREO) (“Mereo” or the “Company”), a clinical-stage biopharmaceutical company focused on rare diseases, today announced its financial results for the third quarter ended September 30, 2024, and provided an update on recent corporate highlights. The Company reported cash and cash equivalents of $80.5 million as of September 30, 2024, which the Company believes will provide runway into 2027, through multiple key inflection points.

“The Phase 3 program for setrusumab, led by our partners at Ultragenyx, continues to progress according to plan and we look forward to reporting the topline data during 2025,” said Dr. Denise Scots-Knight, Chief Executive Officer of Mereo. “The recent receipt of Breakthrough Therapy designation from the U.S. FDA follows on from the PRIME designation we obtained in Europe. This reinforces the high unmet medical need for treatments for individuals affected by osteogenesis imperfecta (OI) who currently have no approved therapies, and the potential of setrusumab. Our pre-commercial efforts in our key European markets are progressing well, including the discussions with the HTAs and payors through EUNetHA and scientific advice in the individual countries. We continue to engage in discussions with multiple potential partners regarding the development and commercialization of alvelestat for AATD lung disease. We remain on track for alvelestat to be Phase 3-ready around the end of the year, further solidifying our commitment to bringing innovative treatments to individuals with rare diseases.”

Third Quarter 2024 Highlights, Recent Developments and Anticipated Milestones

Setrusumab (UX143)

  • Our partner, Ultragenyx Pharmaceutical Inc., received Breakthrough Therapy Designation from the U.S. Food and Drug Administration (FDA) for setrusumab (UX143) as a treatment to reduce the risk of fracture associated with osteogenesis imperfecta (OI) Type I, III, or IV in patients 2 years of age and older.
    • The FDA’s decision was based on preliminary clinical evidence including the positive 14-month results from the Phase 2 portion of the Orbit study, which demonstrated a rapid and clinically meaningful decrease in fracture rate in patients, and from the completed Phase 2b ASTEROID study.
  • Led by Ultragenyx, the Companies are actively advancing the Phase 3 Orbit and Cosmic studies of setrusumab in OI.
  • The 14-month data from the Phase 2/3 Orbit study were presented by Ultragenyx in a late-breaking oral presentation at the American Society for Bone and Mineral Research (ASBMR) 2024 Annual Meeting.
  • A further paper from SATURN (Systematic Accumulation of Treatment practices and Utilization, Real world evidence, and Natural history data for OI), has been published. This is part of the Company’s pre-launch activities designed to generate additional evidence to support coverage, pricing and reimbursement decisions across Europe.

Alvelestat (MPH-966)

  • Following the FDA feedback on the detailed Phase 3 package, including the study protocol and the initial validation work on SGRQ in AATD, the Company continues to expect that alvelestat will be Phase 3 ready around the end of 2024.
  • The Company remains in discussions with several potential partners regarding the development and commercialization of alvelestat for AATD.

Third Quarter 2024 Financial Results

Total research and development (R&D) expenses decreased by $0.4 million, or 12%, from $3.6 million in the third quarter of 2023 to $3.2 million in the third quarter of 2024. The decrease was primarily due to reductions in R&D expenses of $0.6 million and $0.4 million for etigilimab and alvelestat, respectively, partially offset by an increase of $0.4 million for setrusumab. The reduction in program expenses for etigilimab was primarily due to the winding down and completion during 2023 of the open label Phase 1b/2 basket study in combination with an anti-PD-1 in a range of tumor types. The reduction in the program expenses for alvelestat primarily relates to lower levels of preparatory activity undertaken in respect of the Phase 3 study in the three months ended September 30, 2024 compared to 2023, particularly including manufacturing and drug formulation activities and regulatory interactions. The increase in program expenses for setrusumab was driven by additional activities in Europe and resources for input into development, regulatory and manufacturing plans with our partner, Ultragenyx, as the global development program is funded by Ultragenyx pursuant to our license and collaboration agreement.

General and administrative (G&A) expenses increased by $0.5 million, or 9%, from $5.7 million in the third quarter of 2023 to $6.2 million in the third quarter of 2024. The increase primarily reflects $0.2 million higher pre-commercial activities to lay the foundation for the commercial launch of setrusumab in Europe, including activities to support pricing and reimbursement by HTA authorities and payor decision-makers in Europe. The remaining increase represents increases in various corporate expenses.

Net loss for the third quarter of 2024 was $15.0 million, compared to $6.5 million during the third quarter of 2023. The $9.2 million increase in net loss was driven primarily by a net foreign exchange loss of $6.4 million for the third quarter of 2024, compared to a gain of $2.5 million for the third quarter of 2023. This change primarily reflects a weakening of the U.S. dollar when translating U.S. dollar balances into our functional currency of pound sterling in the third quarter of 2024 and higher U.S. dollar balances.

As of September 30, 2024, the Company had cash and cash equivalents of $80.5 million, compared to $57.4 million as of December 31, 2023. This includes net proceeds of the $50 million underwritten registered direct offering priced at-the-market on June 14, 2024. The Company expects, based on current operational plans, that its existing cash and cash equivalents balance will enable it to fund its currently committed clinical trials, operating expenses including pre-commercial activities for setrusumab, and capital expenditure requirements into 2027. This guidance does not include any potential upfront payments associated with a partnership for alvelestat or business development activity around any of the Company’s non-core programs.

Total ordinary shares issued as of September 30, 2024, were 773,672,299. Total ADS equivalents as of September 30, 2024, were 154,734,459, with each ADS representing five ordinary shares of the Company.

About Mereo BioPharma

Mereo BioPharma is a biopharmaceutical company focused on the development of innovative therapeutics for rare diseases. The Company has two rare disease product candidates, setrusumab for the treatment of osteogenesis imperfecta (OI) and alvelestat primarily for the treatment of severe alpha-1 antitrypsin deficiency-associated lung disease (AATD-LD). The Company’s partner, Ultragenyx Pharmaceutical, Inc., has completed enrollment in the Phase 3 portion of a pivotal Phase 2/3 pediatric study in young adults (5 to 25 years old) for setrusumab in OI and in the Phase 3 study in pediatric patients (2 to <7 years old) in the first half of 2024. The partnership with Ultragenyx includes potential additional milestone payments of up to $245 million and royalties to Mereo on commercial sales in Ultragenyx territories. Mereo has retained EU and UK commercial rights and will pay Ultragenyx royalties on commercial sales in those territories. Setrusumab has received orphan designation for osteogenesis imperfecta from the EMA and FDA, PRIME designation from the EMA, and Breakthrough Therapy designation and pediatric disease designation from the FDA. Alvelestat has received U.S. Orphan Drug Designation for the treatment of AATD and Fast Track designation from the FDA. Following results from ASTRAEUS and ATALANTa in AATD-lung disease, the Company has aligned with the FDA and the EMA on the primary endpoints for a Phase 3 pivotal study which if successful could enable full approval in both the U.S. and Europe. In addition to the rare disease programs, Mereo has two oncology product candidates in clinical development. Etigilimab (anti-TIGIT) has completed a Phase 1b/2 basket study evaluating its safety and efficacy in combination with an anti-PD-1 in a range of tumor types and is an ongoing Phase 1b/2 investigator led study at the MD Anderson Cancer Center in clear cell ovarian cancer; Navicixizumab, for the treatment of late line ovarian cancer, has completed a Phase 1 study and has been partnered with Feng Biosciences Inc. in a global licensing agreement that includes milestone payments and royalties. Mereo has entered into an exclusive global license agreement with ReproNovo SA for the development and commercialization of leflutrozole, a non-steroidal aromatase inhibitor. Under the terms of the agreement, ReproNovo, a reproductive medicine company, is responsible for all future development and commercialization of leflutrozole.

Forward-Looking Statements

This press release contains “forward-looking statements” that involve substantial risks and uncertainties. All statements other than statements of historical fact contained herein are forward-looking statements within the meaning of Section 27A of the United States Securities Act of 1933, as amended, and Section 21E of the United States Securities Exchange Act of 1934, as amended. Forward-looking statements usually relate to future events and anticipated revenues, earnings, cash flows or other aspects of our operations or operating results. Forward-looking statements are often identified by the words “believe,” “expect,” “anticipate,” “plan,” “intend,” “foresee,” “should,” “would,” “could,” “may,” “estimate,” “outlook” and similar expressions, including the negative thereof. The absence of these words, however, does not mean that the statements are not forward-looking. These forward-looking statements are based on the Company’s current expectations, beliefs and assumptions concerning future developments and business conditions and their potential effect on the Company. While management believes that these forward-looking statements are reasonable as and when made, there can be no assurance that future developments affecting the Company will be those that it anticipates.
All of the Company’s forward-looking statements involve known and unknown risks and uncertainties some of which are significant or beyond its control and assumptions that could cause actual results to differ materially from the Company’s historical experience and its present expectations or projections. Such risks and uncertainties include, among others, the uncertainties inherent in the clinical development process; the Company’s reliance on third parties to conduct and provide funding for its clinical trials; the Company’s dependence on enrollment of patients in its clinical trials; and the Company’s dependence on its key executives. You should carefully consider the foregoing factors and the other risks and uncertainties that affect the Company’s business, including those described in the “Risk Factors” section of its Annual Report on Form 10-K, as well as discussions of potential risks, uncertainties, and other important factors in the Company’s subsequent filings with the Securities and Exchange Commission. The Company wishes to caution you not to place undue reliance on any forward-looking statements, which speak only as of the date hereof. The Company undertakes no obligation to publicly update or revise any of our forward-looking statements after the date they are made, whether as a result of new information, future events or otherwise, except to the extent required by law.



Mereo BioPharma Contacts:
  
Mereo +44 (0)333 023 7300
Denise Scots-Knight, Chief Executive Officer  
Christine Fox, Chief Financial Officer  
  
Burns McClellan (Investor Relations Adviser to Mereo) +01 646 930 4406
Lee Roth  
Investors investors@mereobiopharma.com


MEREO BIOPHARMA GROUP PLC
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
(Unaudited)
 
  September 30,  December 31, 
  2024  2023 
Assets      
Current assets:      
Cash and cash equivalents $80,522  $57,421 
Prepaid expenses and other current assets  3,830   5,156 
Research and development incentives receivables  2,371   1,183 
Total current assets  86,723   63,760 
Property and equipment, net  315   405 
Operating lease right-of-use assets, net  909   1,245 
Intangible assets, net  799   1,089 
Total assets $88,746  $66,499 
       
Liabilities      
Current liabilities:      
Accounts payable $1,748  $2,346 
Accrued expenses  3,529   5,467 
Convertible loan notes – current  5,551    
Operating lease liabilities – current  736   652 
Other current liabilities  2,644   1,021 
Total current liabilities  14,208   9,486 
Convertible loan notes – non-current     4,394 
Warrant liabilities – non-current  1,040   412 
Operating lease liabilities – non-current  394   906 
Other non-current liabilities  568   764 
Total liabilities $16,210  $15,962 
Commitments and contingencies (Note 16)      
       
Shareholders’ Equity      
Ordinary shares, par value £0.003 per share; 773,672,299 shares issued at September 30, 2024 (December 31, 2023: 701,217,089).  3,051   2,775 
Treasury shares     (1,230)
Additional paid-in capital  536,426   486,107 
Accumulated deficit  (455,837)  (419,630)
Accumulated other comprehensive loss  (11,104)  (17,485)
Total shareholders’ equity  72,536   50,537 
Total liabilities and shareholders’ equity $88,746  $66,499 


MEREO BIOPHARMA GROUP PLC
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(In thousands, except share and per share amounts)
(Unaudited)
 
  Three Months Ended
September 30,
  Nine Months Ended
September 30,
 
  2024  2023  2024  2023 
Revenue $  $  $  $9,000 
Operating expenses:            
Cost of revenue     235      (2,847)
Research and development  (3,170)  (3,594)  (12,109)  (12,614)
General and administrative  (6,203)  (5,708)  (19,980)  (14,827)
Loss from operations  (9,373)  (9,067)  (32,089)  (21,288)
Other income/(expenses)            
Interest income  983   689   2,160   1,368 
Interest expense  (353)  (700)  (995)  (2,528)
Changes in the fair value of warrants  (59)     (576)  440 
Foreign currency transaction (loss)/gain, net  (6,425)  2,465   (5,780)  455 
Other expenses, net           (6)
Benefit from research and development tax credit  226   82   1,073   1,202 
Net loss before income tax  (15,001)  (6,531)  (36,207)  (20,357)
Income tax benefit            
Net loss $(15,001) $(6,531) $(36,207) $(20,357)
             
Loss per share – basic and diluted $(0.02) $(0.01) $(0.05) $(0.03)
Weighted average shares outstanding – basic and diluted  770,146,589   684,974,190   727,808,860   645,997,203 
             
Net loss $(15,001) $(6,531) $(36,207) $(20,357)
Other comprehensive income/(loss) – Foreign currency translation adjustments, net of tax  7,174   (3,579)  6,381   99 
Total comprehensive loss $(7,827) $(10,110) $(29,826) $(20,258)

FAQ

What is Mereo BioPharma's (MREO) current cash position as of Q3 2024?

Mereo BioPharma reported cash and cash equivalents of $80.5 million as of September 30, 2024.

How much did MREO's net loss increase in Q3 2024?

MREO's net loss increased by $9.2 million to $15.0 million in Q3 2024, compared to $6.5 million in Q3 2023.

What regulatory designation did setrusumab receive from the FDA in 2024?

Setrusumab received Breakthrough Therapy designation from the FDA for treating osteogenesis imperfecta Type I, III, or IV in patients 2 years and older.

How long is MREO's current cash expected to fund operations?

The company's current cash position is expected to fund operations into 2027.

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